| NPI | 1205568565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2024023231) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2022024135) |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2024-06-27 |