| NPI | 1134549983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME160070) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 28038) |
| 208000000X Pediatrics (Licence: LA 305014) | |
| 208000000X Pediatrics (Licence: TX S0617) | |
| Enumeration Date | 2014-04-20 |
| Last Update Date | 2024-05-13 |