| NPI | 1740227743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: MI 4301048246) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301048246) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2017-01-13 |