| NPI | 1376729905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 49021) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 64345) |
| 208000000X Pediatrics (Licence: GA 064345) | |
| 208000000X Pediatrics (Licence: KY TP864) | |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2024-05-13 |