| NPI | 1992901334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0065388) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 232837) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2024-08-10 |