| NPI | 1588670400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: WI 43870) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 43870) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2021-01-20 |