| NPI | 1821203399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101263070) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SD 8795) |
| 208000000X Pediatrics (Licence: AZ 42770) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2023-08-07 |