| NPI | 1679882278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME157556) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX R7076) |
| 208000000X Pediatrics (Licence: AZ 46733) | |
| 208000000X Pediatrics (Licence: NJ 25MA11606400) | |
| 208000000X Pediatrics (Licence: CA C182889) | |
| 208000000X Pediatrics (Licence: NY 319132-01) | |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2025-03-04 |