| NPI | 1467089136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 73835) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML61058917) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2024-06-04 |