| NPI | 1639365091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D73077) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT 187919) |
| 208000000X Pediatrics (Licence: VA 0101272659) | |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2021-11-17 |