| NPI | 1558418046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101054529) |
| Additional Taxonomies | 2080A0000X Pediatrics Adolescent Medicine (Licence: LA 021960) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2018-10-18 |