| NPI | 1023422540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101262311) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL36994) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2020-06-04 |