| NPI | 1295050854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0054576) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 49341) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2019-12-23 |