| NPI | 1992775365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 46353) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 222870) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2024-05-29 |