| NPI | 1801002605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0102209017) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 509) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2025-04-08 |