| NPI | 1659530160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD039903) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD 5947) |
| 208000000X Pediatrics (Licence: NH LT-3556) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2015-08-17 |