| NPI | 1487211199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 82290) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 10967) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2022-07-18 |