| NPI | 1316037450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: CT 042135) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 042135) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2012-01-04 |