| NPI | 1265108450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2025021647) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-12410) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2025-06-23 |