| NPI | 1376768366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX M9719) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD433637) |
| 208000000X Pediatrics (Licence: MI 4301084228) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2023-01-03 |