| NPI | 1710331673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MTL003526) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101282735) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2024-07-01 |