| NPI | 1265939359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR 213583) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 88789) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2023-04-13 |