| NPI | 1609371293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A177580) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD446353) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2022-11-16 |