| NPI | 1306264908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 281873) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0059200) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2020-02-24 |