| NPI | 1174027015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2021017719) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-09699) |
| 208000000X Pediatrics (Licence: MO 2018021472) | |
| 208000000X Pediatrics (Licence: KS 04-44776) | |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2021-06-24 |