| NPI | 1114260007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS13916) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 316856) |
| 208000000X Pediatrics (Licence: IL 036146456) | |
| 208000000X Pediatrics (Licence: TX T2829) | |
| 208000000X Pediatrics (Licence: NJ 25MB11532000) | |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2024-07-24 |