| NPI | 1154305134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 31812) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NC 31812) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2020-10-25 |