| NPI | 1316642671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4351050719) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5315239809) |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-08-07 |