| NPI | 1538696786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: OR MD216128) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10059341) |
| 208000000X Pediatrics (Licence: CO DR.0064259) | |
| 208000000X Pediatrics (Licence: OR MD216128) | |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2023-08-14 |