| NPI | 1689807315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 263720) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WY 12145C) |
| 208000000X Pediatrics (Licence: DE C1-0023869) | |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2024-10-07 |