| NPI | 1619056546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 249872) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL R9047) |
| 208000000X Pediatrics (Licence: IL 036121148) | |
| 208000000X Pediatrics (Licence: NJ MA08466100) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2024-01-12 |