| NPI | 1306950191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 89687) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101231177) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2023-08-22 |