| NPI | 1235799776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2022026710) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2019018935) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2022-07-11 |