| NPI | 1164457305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL ME80960) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME80960) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2019-07-12 |