| NPI | 1144887605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 04-46310) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-09840) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2022-06-20 |