| NPI | 1053607010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101261237) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 072842) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2023-03-07 |