| NPI | 1184390205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 72172) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 31683) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2022-08-25 |