| NPI | 1700215563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA OT014985) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS017178) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2016-02-08 |