| NPI | 1396372108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 13891771-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2023023099) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2024-04-01 |