| NPI | 1316431000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 70141) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301115493) |
| 208000000X Pediatrics (Licence: MN 32204) | |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2023-05-18 |