| NPI | 1134533961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 73781) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 78471) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2024-08-08 |