| NPI | 1578853685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: AZ 010817) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 010817) |
| Enumeration Date | 2011-04-10 |
| Last Update Date | 2024-08-30 |