| NPI | 1306834361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME93202) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX T6566) |
| 208000000X Pediatrics (Licence: NJ 25MA11580500) | |
| 208000000X Pediatrics (Licence: NY 318483) | |
| 208000000X Pediatrics (Licence: AZ 67037) | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2026-06-03 |