| NPI | 1588857841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: WI 53813-21) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MI 5101015980) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2019-05-01 |