| NPI | 1669405254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 9500136) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NC 9500136) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2017-01-06 |