| NPI | 1821063314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL ME99572) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 056581) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2014-03-28 |