| NPI | 1942405550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 238757) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA L-231798) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2023-07-24 |