| NPI | 1073171708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS022258) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT01900) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2022-08-31 |