| NPI | 1194104828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 102319-875) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC MMD.38239.LL) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2024-11-07 |