| NPI | 1851372759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MA 253765) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 253765) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2014-05-09 |