| NPI | 1174740385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 59972) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA 45023) |
| 208000000X Pediatrics (Licence: GA 000517) | |
| 208000000X Pediatrics (Licence: TN 46504) | |
| 208000000X Pediatrics (Licence: SC 28913) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2023-07-28 |