| NPI | 1366934531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 52437) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL52437) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2021-09-09 |