| NPI | 1922545052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101266186) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101266186) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2023-06-22 |