| NPI | 1457395550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA a82372) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA 82372) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2024-09-04 |