| NPI | 1275595118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101053916) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101053916) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2018-09-21 |