| NPI | 1467152793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2023004929) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 53-81957-051) |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-06 |