| NPI | 1518351832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI do00945) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 274281) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2019-11-13 |