| NPI | 1144493818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 53288) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NH 16809) |
| 208000000X Pediatrics (Licence: FL ME109085) | |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2020-01-10 |