| NPI | 1700272077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX S3349) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A161711) |
| 208000000X Pediatrics (Licence: ME MD22520) | |
| 208000000X Pediatrics (Licence: PA MD467454) | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2022-01-25 |