| NPI | 1336225671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 033108) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CT 033108) |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2012-11-07 |