| NPI | 1750630307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 20094) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 278860) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2024-02-13 |