| NPI | 1518115955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101247809) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 63641) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2023-05-10 |