| NPI | 1922397785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2021-01100) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 258607) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2021-07-16 |