| NPI | 1528622040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0102207059) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL82159) |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2023-10-25 |