| NPI | 1730243676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A76422) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 242189) |
| 208000000X Pediatrics (Licence: PA MD073232L) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2026-02-28 |