| NPI | 1265640882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 9433313-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TP722) |
| 208000000X Pediatrics (Licence: KY TP722) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2023-12-14 |