| NPI | 1124057617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR 214024) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA 463842) |
| 208000000X Pediatrics (Licence: NM 2019-0092) | |
| 208000000X Pediatrics (Licence: TN 28629) | |
| 208000000X Pediatrics (Licence: GA 87938) | |
| 208000000X Pediatrics (Licence: WA 60886822) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2024-04-23 |