| NPI | 1356449144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2005-01289) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: NC 2005-01289) |
| 208000000X Pediatrics (Licence: MA 151877) | |
| 208000000X Pediatrics (Licence: MD D0088037) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-03-27 |