| NPI | 1750549531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 054971) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 243744) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2016-06-10 |