| NPI | 1336707991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA DO-06036) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT019093) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2022-08-03 |