| NPI | 1336763382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME168482) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301506634) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2024-08-28 |