| NPI | 1902192115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 324772) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 124258) |
| 208000000X Pediatrics (Licence: MD D0080772) | |
| 208000000X Pediatrics (Licence: CA A1311441) | |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2021-07-31 |