| NPI | 1447995659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 77434) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 33689) |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2024-07-31 |