| NPI | 1720053432 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL MD.16971) | 
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: AL 00016971) | 
| Enumeration Date | 2006-02-17 | 
| Last Update Date | 2019-06-07 |