| NPI | 1477012326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2019018899) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-10047) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-06-26 |