| NPI | 1164718516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101257578) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116023956) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2022-02-23 |