| NPI | 1033560610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 010489) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 1921) |
| Enumeration Date | 2016-06-25 |
| Last Update Date | 2023-09-27 |