| NPI | 1114450525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 340160) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 340160) |
| 207R00000X Internal Medicine (Licence: AL DO.2116) | |
| 208000000X Pediatrics (Licence: AL DO.2116) | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2024-06-03 |