| NPI | 1124481106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2016020834) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-09102) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2022-06-17 |