| NPI | 1245210780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 255759) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA 00044897) |
| 208000000X Pediatrics (Licence: TX M5194) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: MA MA5194) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2022-06-15 |