| NPI | 1306815196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO CDRH46983) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA 35419) |
| 208000000X Pediatrics (Licence: NM MD2013-0216) | |
| 208000000X Pediatrics (Licence: IN 01059564A) | |
| 208000000X Pediatrics (Licence: AZ 64647) | |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2023-10-21 |