| NPI | 1134787211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101274826) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT217640) |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2022-07-06 |