| NPI | 1669633616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101261706) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 30785) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2019-03-27 |