| NPI | 1609018498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MT MED-PHYS-LIC-76923) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 7771250-1250) |
| 208000000X Pediatrics (Licence: MT Med-phys-lic-76293) | |
| 208000000X Pediatrics (Licence: NM MD2012-0854) | |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2022-07-26 |