| NPI | 1689022188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0102205710) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116029012) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2022-08-09 |