| NPI | 1164412896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MA 71822) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 71822) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2012-07-23 |