| NPI | 1346352408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N8520) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 232546) |
| 208000000X Pediatrics (Licence: NJ MA08333300) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-11-18 |