| NPI | 1013432780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 84570) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 11935) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2023-08-24 |