| NPI | 1184981797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA A163273) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A163273) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2020-05-06 |