| NPI | 1033351614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CO DR.0055497) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60093581) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2021-04-15 |