| NPI | 1558338954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 52269) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MA 52269) |
| 208000000X Pediatrics (Licence: CT 039117) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: CT 039117) | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2007-07-09 |