| NPI | 1235221607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME126917) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 226615) |
| 208000000X Pediatrics (Licence: TX P3222) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2016-10-11 |