| NPI | 1659426575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: CA A76023) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M6623) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-06-03 |