| NPI | 1255822144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD209880) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R76950) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2022-06-28 |