| NPI | 1174103964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2021019657) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-10590) |
| 208000000X Pediatrics (Licence: GA 98938) | |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2024-04-06 |