| NPI | 1538457379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 66500) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 258586) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2022-07-25 |