| NPI | 1275947640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0070166) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR DO201481) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2023-11-15 |