| NPI | 1750646956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0078591) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MD D0078591) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2024-10-21 |