| NPI | 1316152200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101265805) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 8734530-1205) |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2021-05-28 |