| NPI | 1982866752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2022-00133) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10031881) |
| 208000000X Pediatrics (Licence: OH 35.096470) | |
| 208000000X Pediatrics (Licence: IN 01077878A) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2022-10-03 |