| NPI | 1144602590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 307924) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA PGY.202956) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2024-02-05 |