| NPI | 1356904379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 92344) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 10825) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2022-09-23 |