| NPI | 1285040238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 91014) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0102206068) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2022-06-29 |