| NPI | 1366838989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 04-42885) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2018010491) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2022-03-14 |