| NPI | 1619362647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD H90049) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2018-00995) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2021-03-31 |