| NPI | 1336568591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101265237) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2017-00399) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2021-09-28 |