| NPI | 1144683483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 04-42502) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2024006500) |
| 208000000X Pediatrics (Licence: NY 315486) | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2024-09-05 |