| NPI | 1275068090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 60607) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R76104) |
| Enumeration Date | 2017-04-30 |
| Last Update Date | 2021-02-01 |