| NPI | 1386892438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: MA 250618) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 241385) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2015-03-24 |