| NPI | 1245891878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NE 8603) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MT MED-PHYS-LIC-112688) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2024-08-01 |