| NPI | 1720299456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 274183) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD160828) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2018-07-06 |