| NPI | 1801855309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD2009-0738) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 47945) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2023-03-07 |