| NPI | 1568437416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: KY 28749) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 28740) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2024-01-18 |