| NPI | 1861754988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101254851) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0097980) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2024-04-05 |