| NPI | 1295185718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 91924) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301109798) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2022-08-08 |