| NPI | 1578521829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD156114) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR 156114) |
| 208000000X Pediatrics (Licence: FL ME78852) | |
| 208000000X Pediatrics (Licence: OH 096165) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2021-02-17 |