| NPI | 1003015678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL DO.1032) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0102203872) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2021-04-28 |