| NPI | 1649319674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD2009-0221) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 7829850-1205) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2022-07-21 |