| NPI | 1942431317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 241286) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 25003w) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2023-12-14 |