| NPI | 1174134944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2024013928) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 36400) |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2024-04-22 |