| NPI | 1447604442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS14058) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL UO 3505) |
| 208000000X Pediatrics (Licence: CA 20A14294) | |
| Enumeration Date | 2016-04-16 |
| Last Update Date | 2023-07-05 |