| NPI | 1619186541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 21717) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-7505) |
| 208000000X Pediatrics (Licence: IA 37785) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: IA 37785) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: GA 062331) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2022-07-21 |