| NPI | 1952479669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301098955) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 225925) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2019-05-24 |