| NPI | 1699156364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A23864) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY R3877) |
| 208000000X Pediatrics (Licence: SC 51932) | |
| 208000000X Pediatrics (Licence: TN 4593) | |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2025-06-02 |