| NPI | 1316575046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 24106) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 284618) |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2023-08-06 |