| NPI | 1043424153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CO DR.0045993) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 45993) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2018-12-05 |