| NPI | 1215975776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C54689) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: GA 054398) |
| 208000000X Pediatrics (Licence: TX N4877) | |
| 208000000X Pediatrics (Licence: FL ME100594) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2021-11-30 |