| NPI | 1275803173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME123699) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX V8489) |
| 208000000X Pediatrics (Licence: AZ 77422) | |
| 208000000X Pediatrics (Licence: PA MD491232C) | |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2026-02-11 |