| NPI | 1033777347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 3131) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA DO-06069) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2022-04-30 |