| NPI | 1568445906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: MA 81595) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 81595) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2014-07-03 |