| NPI | 1386173342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 33037) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101265468) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2024-09-04 |