| NPI | 1255034799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2023019648) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-11398) |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2023-06-29 |