| NPI | 1982048211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD175608) |
| Additional Taxonomies | 2080A0000X Pediatrics Adolescent Medicine (Licence: OR MD175608) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2018-02-26 |