| NPI | 1386104149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 39313) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-09971) |
| 208000000X Pediatrics (Licence: MO 2019022814) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2022-06-20 |