| NPI | 1326221888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: WV wv2309) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV 2309) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2021-03-25 |