| NPI | 1245223601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101054279) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: VA 0101054279) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2012-08-03 |