| NPI | 1194215541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 05697) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV 3693) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2024-05-23 |