| NPI | 1962689398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MO 2010015946) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2010015946) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2024-04-25 |