| NPI | 1255489191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH EL12569) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A81952) |
| 208000000X Pediatrics (Licence: VA 0101246109) | |
| 208000000X Pediatrics (Licence: OR MD211902) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2023-08-28 |