| NPI | 1063906667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 5101026243) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101023836) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2021-05-14 |