| NPI | 1295187029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 83064) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 6539851) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2022-04-12 |