| NPI | 1134705866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 83313) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-10519) |
| 208000000X Pediatrics (Licence: MO 2021020588) | |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2024-04-05 |