| NPI | 1386688356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CO DR.0054337) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: AR T2007-054) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: OH 35.097859) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2014-10-06 |