| NPI | 1932356664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 17359) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101243569) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2022-07-21 |