| NPI | 1043770514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 293043) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MDRE.ML.60958829) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2022-08-15 |