| NPI | 1760619951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0102203239) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116021641) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2023-11-27 |