| NPI | 1699873307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL 156444) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101053952) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2025-07-16 |