| NPI | 1952401416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2013-01475) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC MD30864) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2018-11-08 |