| NPI | 1033969183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2024019294) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 9411828) |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-06-19 |