| NPI | 1205494663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101274153) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116032658) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2024-02-06 |