| NPI | 1215599352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2023-02129) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4351045663) |
| 208000000X Pediatrics (Licence: MI 4301508152) | |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2023-08-23 |