| NPI | 1184773434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD181098) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60721872) |
| 208000000X Pediatrics (Licence: SC 30731) | |
| 208000000X Pediatrics (Licence: TX Q6767) | |
| 208000000X Pediatrics (Licence: FL TRN9227) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2023-01-09 |