| NPI | 1154946598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 82260-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-11916) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2023-06-20 |