| NPI | 1003903147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 43780) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD39365) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2023-04-26 |