| NPI | 1629173224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA G25692) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G25692) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA G25692) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-09-12 |