| NPI | 1215950233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MO 113154) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 113154) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2024-04-25 |