| NPI | 1609215094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0057152) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R73977) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2023-07-27 |