| NPI | 1700103389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS14169) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 69179) |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2023-03-01 |