| NPI | 1790816353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101268379) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT188350) |
| 208000000X Pediatrics (Licence: DE CT70003529) | |
| 208000000X Pediatrics (Licence: TX N8997) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2024-09-13 |