| NPI | 1013179241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101275647) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 53871) |
| Enumeration Date | 2008-06-29 |
| Last Update Date | 2024-11-08 |