| NPI | 1083663538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IL 036.149430) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.084839) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 312011-01) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: TX T4095) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: WA MD61181970) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: CO DR.0067384) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA MD432542) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: OH 35.084839) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA 036.149430) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2023-11-03 |