| NPI | 1659785897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 81208) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301105487) |
| 208000000X Pediatrics (Licence: IA MD-44424) | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2023-02-20 |