| NPI | 1114371531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX S1637) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME141622) |
| 208000000X Pediatrics (Licence: CT 64477) | |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2022-12-14 |