| NPI | 1982695474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CO DR.0073050) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0073050) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: IN 01046883A) | |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2024-06-26 |