| NPI | 1770045122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101279661) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX T7998) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2023-10-25 |