| NPI | 1477172047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 0000068303) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 68303) |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2024-08-28 |