| NPI | 1225665367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 1015968) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML61059607) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2023-07-06 |