| NPI | 1710325238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: VA 0101260011) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101260011) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2025-06-27 |