| NPI | 1407926157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA A82692) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ A82696) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2023-07-26 |