| NPI | 1467500702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN MD43871) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 43871) |
| 208000000X Pediatrics (Licence: KY 40095) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2022-03-23 |