| NPI | 1083062160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 83638) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL UO4893) |
| Enumeration Date | 2016-05-30 |
| Last Update Date | 2024-09-18 |