| NPI | 1073093241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2022016711) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2018022483) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2022-06-20 |