| NPI | 1164099073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 8523) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-10686) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2024-09-12 |