| NPI | 1528171824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0102204256) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 040307) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2021-07-27 |