| NPI | 1194189217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X (Licence: MO 2021018274) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2021018274) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2024-04-25 |