| NPI | 1629125646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: GA 29631) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 29631) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2021-08-25 |