| NPI | 1386103562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ID M-16711) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60950368) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2022-07-18 |