| NPI | 1316101272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX R3514) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ME 017942) |
| 208000000X Pediatrics (Licence: NM 2002-0360) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2022-06-27 |