| NPI | 1922537778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0070581) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT213903) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2023-06-14 |