| NPI | 1144857830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 04-47970) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2023030160) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2023-08-01 |