| NPI | 1265595748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME134349) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 48102) |
| 208000000X Pediatrics (Licence: WY 15864C) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2024-10-14 |