| NPI | 1396139341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101273214) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD463865) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2023-08-11 |