| NPI | 1053933150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2021025563) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-11104) |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2022-08-02 |