| NPI | 1194302653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 341263) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 010149314) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2024-05-01 |