| NPI | 1992904775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N3016) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0102202689) |
| 208000000X Pediatrics (Licence: DC DO034397) | |
| 208000000X Pediatrics (Licence: MD H0070050) | |
| 208000000X Pediatrics (Licence: NY 245119) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2023-06-27 |