| NPI | 1033597380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101265161) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301107256) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2021-08-30 |