| NPI | 1710479860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101279852) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL52535) |
| 208000000X Pediatrics (Licence: SC 52535) | |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2024-03-13 |