| NPI | 1003270489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VT 042-0015457) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 6299) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2021-10-18 |