| NPI | 1679997886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A178467) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0089267) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2023-04-25 |