| NPI | 1861666810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2017-02244) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35098417) |
| 208000000X Pediatrics (Licence: PR 26549-R) | |
| 208000000X Pediatrics (Licence: FL ME126698) | |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2022-02-16 |