| NPI | 1174027791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A165676) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0066299) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2024-06-25 |