| NPI | 1366975682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 23566) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 64052) |
| 208000000X Pediatrics (Licence: MN 28446) | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2024-05-29 |