| NPI | 1710307467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101265034) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 40574) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2018-08-08 |