| NPI | 1295956563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101243247) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT187339) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2021-06-22 |