| NPI | 1306050232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME116979) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-6560) |
| 208000000X Pediatrics (Licence: TX P3831) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-27 |