| NPI | 1033730502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 77795) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 33381) |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2024-09-04 |