| NPI | 1912046939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD2007-0483) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM 2004-0442) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2021-04-07 |