| NPI | 1366619561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0064872) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 061533) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2020-09-01 |