| NPI | 1962513473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101275726) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 056412) |
| 208000000X Pediatrics (Licence: SC 51481) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-06-29 |