| NPI | 1760567846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 214026) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NH 34028) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2025-03-31 |