| NPI | 1427619121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 88230) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL82583) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2022-08-24 |