| NPI | 1659872596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0102207272) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS021117) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2022-09-30 |