| NPI | 1861921173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO APN.0994219-NP) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ AP10213) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2023-10-03 |