| NPI | 1861768459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI MD19201) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ME MD20777) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2022-07-19 |