| NPI | 1841379716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MA 80131) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 80131) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-08-14 |