| NPI | 1851572333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MA 257884) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 17772) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2014-05-08 |