| NPI | 1164119657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 77439) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 33392) |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2024-10-31 |