| NPI | 1790163046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0062154) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301107053) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2020-07-14 |