| NPI | 1457489973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2009-00630) |
| Additional Taxonomies | 2080A0000X Pediatrics Adolescent Medicine (Licence: NC 2009-00630) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2015-08-31 |