| NPI | 1780171272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 1016808) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 68686) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2023-06-12 |