| NPI | 1184253056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 69681) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 30724) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2021-07-21 |