| NPI | 1619136496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A135530) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0075578) |
| 208000000X Pediatrics (Licence: NY 261603) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2018-09-10 |