| NPI | 1467959395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2022026682) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101026156) |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2023-10-09 |