| NPI | 1184346496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 75206) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 32581) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2023-08-28 |