| NPI | 1659319770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MI 4301406543) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301406543) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2017-01-13 |