| NPI | 1417923459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: KY 35804) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 35804) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2023-10-10 |