| NPI | 1619141330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101259811) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME109764) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2019-08-29 |