| NPI | 1972062024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0102207725) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC D0210001333) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2024-03-25 |