| NPI | 1326544669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 71707) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 71707) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-01-10 |