| NPI | 1841412954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VT 042-0012260) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101243675) |
| 208000000X Pediatrics (Licence: NY 251561-1) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2023-06-30 |