| NPI | 1417914268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A9673) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: OH 34.008124) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2018-11-26 |