| NPI | 1043321748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: KY 41107) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 41107) |
| 208000000X Pediatrics (Licence: GA 052858) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-01-05 |