| NPI | 1063517159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 101042251) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA FM6250447) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2025-11-17 |