| NPI | 1164659322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2018-00013) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD034642) |
| 208000000X Pediatrics (Licence: TX N3827) | |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2022-08-19 |