| NPI | 1205890894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 36595) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD41078) |
| 208000000X Pediatrics (Licence: GA 060382) | |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2023-03-07 |