| NPI | 1932462470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 006650) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R2125) |
| 208000000X Pediatrics (Licence: CA 20A14785) | |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2021-06-29 |