| NPI | 1033748967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 90003) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61446233) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2023-08-14 |