| NPI | 1710349964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: VA 0101262971) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101262971) |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2024-07-01 |