| NPI | 1831321223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A127113) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 265593) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2021-11-29 |