| NPI | 1932174380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD2024-0975) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 038540) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2024-11-08 |