| NPI | 1386938173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: GA 79145) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 260467) |
| 208000000X Pediatrics (Licence: GA 79145) | |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2021-01-29 |