| NPI | 1417570433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS023093) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT020226) |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2023-09-15 |