| NPI | 1942599196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A143939) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME119643) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2019-05-28 |