| NPI | 1770503583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA OS013751) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A8402) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2015-10-29 |