| NPI | 1245961309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 74589) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 32743) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2023-07-11 |