| NPI | 1033274972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 46631) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301053465) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: MI 4301053465) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: TN 46631) | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2010-11-22 |