| NPI | 1841280245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN MD42103) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NC 200300621) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2022-03-18 |