| NPI | 1396241204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 76216) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 72254-20) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2024-04-27 |