| NPI | 1154958221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 13258856-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2020018201) |
| 208000000X Pediatrics (Licence: KS 94-10369) | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2023-06-28 |