| NPI | 1588927974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MI 4301117392) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301117392) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2020-02-21 |