| NPI | 1447403340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL ME147988) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 228681) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: TX P4286) | |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2021-07-29 |