| NPI | 1740624238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301111846) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 280366-1) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2022-07-21 |