| NPI | 1467013250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2022-01855) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL82870) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2022-08-29 |