| NPI | 1861838385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2020-00740) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301102812) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2021-08-09 |