| NPI | 1275020380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 76244) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 66229) |
| 208000000X Pediatrics (Licence: MN 29172) | |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2021-11-10 |