| NPI | 1104025782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC LL29859) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: SC LL29859) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2011-12-21 |