| NPI | 1922395466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 285643) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R72558) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2023-06-29 |