| NPI | 1073931184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MI 4301105422) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301105422) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2017-08-02 |