| NPI | 1851829816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101269623) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT213229) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2021-05-27 |