| NPI | 1851392815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101044048) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME70619) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2023-07-31 |