| NPI | 1467039354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2024011511) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 67959) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2024-04-01 |