| NPI | 1689182602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101272391) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116031569) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2022-03-22 |