| NPI | 1265134233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MT MED-RES-LIC-143339) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA OL61430236) |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2024-07-23 |