| NPI | 1194229229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D96093) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60864322) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2023-07-21 |