| NPI | 1689807315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NE 28446) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD42492) |
| 208000000X Pediatrics (Licence: NM MD2017-0255) | |
| 208000000X Pediatrics (Licence: ME MD29627) | |
| 208000000X Pediatrics (Licence: SC 83453) | |
| 208000000X Pediatrics (Licence: WY 12145C) | |
| 208000000X Pediatrics (Licence: DE C1-0023869) | |
| 208000000X Pediatrics (Licence: HI MD18802) | |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2025-06-18 |