| NPI | 1275665531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101243792) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 19623) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2025-11-12 |