| NPI | 1528452612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0067076) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 10787235-1205) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2021-09-07 |