| NPI | 1407421860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A194404) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C7-0017601) |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2024-05-17 |