| NPI | 1255959946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2023010219) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2021029009) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2023-04-01 |