| NPI | 1417905480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME161425) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 50618) |
| 208000000X Pediatrics (Licence: PA MD453558) | |
| 208000000X Pediatrics (Licence: MI 4301060896) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2023-11-08 |