| NPI | 1740249622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 31617) |
| Additional Taxonomies | 2080A0000X Pediatrics Adolescent Medicine (Licence: GA 044869) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2022-07-21 |