| NPI | 1083634935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: GA 044765) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: WV 22124) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: KY 34616) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: SC 21310) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: AL 00022200) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: TN MD0000010129) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2011-01-06 |