| NPI | 1578959219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101264572) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX T2565) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2023-11-10 |