| NPI | 1043204571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101268121) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 200201131) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2024-11-23 |