| NPI | 1497104194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NE 1830) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116029093) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2022-05-19 |