| NPI | 1033552757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0062044) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD000054414) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2021-05-14 |