| NPI | 1669409389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A72767) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD036667) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-04-22 |