| NPI | 1902856578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301064234) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MI 4301064234) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2011-03-01 |