| NPI | 1881989770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS14464) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MB08949600) |
| Enumeration Date | 2011-06-18 |
| Last Update Date | 2021-11-10 |