| NPI | 1336632728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 325165) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 309132) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2022-01-28 |