| NPI | 1114147006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME129213) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61340360) |
| 208000000X Pediatrics (Licence: UT 8023169-1205) | |
| 208000000X Pediatrics (Licence: MI 4301088447) | |
| 208000000X Pediatrics (Licence: TX U0741) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2023-06-13 |