| NPI | 1659548907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101243491) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116017334) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2020-12-11 |