| NPI | 1861808925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0069109) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR DO188523) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2022-10-04 |