| NPI | 1326533811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301504863) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301114966) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2021-09-08 |