| NPI | 1053723783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2019022351) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 123456789) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2022-10-19 |