| NPI | 1770787616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MA 231226) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 231226) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2014-07-17 |