| NPI | 1942345442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 67713) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 41601) |
| 208000000X Pediatrics (Licence: FL ME104615) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2019-10-31 |