| NPI | 1649341140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0045041) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2001005649) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2024-02-16 |