| NPI | 1114965936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: SC 82320) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MS 14952) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2023-06-02 |