| NPI | 1811283872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 258388) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 4858) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2023-03-01 |