| NPI | 1730269986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 209995) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 209995) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: GA 071214) | |
| 208000000X Pediatrics (Licence: GA 071214) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: NV 17364) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2019-02-19 |