| NPI | 1194285494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 89841) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D93647) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2023-08-21 |