| NPI | 1902198187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0102206740) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2012-01879) |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2023-03-14 |