| NPI | 1467440040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 62922) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101238119) |
| Enumeration Date | 2005-10-08 |
| Last Update Date | 2025-01-30 |