| NPI | 1710416482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101268599) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116030346) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2021-10-06 |