| NPI | 1649366139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS013984) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 237911-1) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-10 |