| NPI | 1104354216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA DO05568) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-10940) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2020-08-31 |