| NPI | 1053760488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101273833) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL39470) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2022-02-25 |