| NPI | 1942510482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME143062) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P7339) |
| 208000000X Pediatrics (Licence: PR 18472) | |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2021-07-05 |