| NPI | 1912135450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2015010245) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME124745) |
| 208000000X Pediatrics (Licence: NY 273287) | |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2022-09-28 |