| NPI | 1457976474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 04-47948) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 8848) |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2023-09-05 |