| NPI | 1174085880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 66800) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 66800) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2023-05-17 |