| NPI | 1154711844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NE 29606) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 29606) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2021-12-21 |