| NPI | 1700230760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 007932) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R2643) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2023-09-20 |