| NPI | 1578641817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 220710) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MA 220710) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2022-07-21 |