| NPI | 1609812585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA C54795) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C54795) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2015-08-20 |