| NPI | 1801861315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 47936) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AK 4930) |
| 208000000X Pediatrics (Licence: CO DR.0061352) | |
| Enumeration Date | 2006-02-18 |
| Last Update Date | 2023-03-07 |