| NPI | 1982900684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A133968) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 262864) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2018-01-26 |