| NPI | 1043892425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME168178) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R78665) |
| Enumeration Date | 2021-04-25 |
| Last Update Date | 2024-08-28 |