| NPI | 1760836092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0071924) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WY 13704A) |
| Enumeration Date | 2016-04-23 |
| Last Update Date | 2023-12-19 |