| NPI | 1366439184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: LA 333996) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.22940) |
| 2080A0000X Pediatrics Adolescent Medicine (Licence: AL MD.22940) | |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2022-11-15 |