| NPI | 1780717124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VT 042-0011378) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VT 0600003192) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2023-06-30 |