| NPI | 1487281309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2023009577) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 0451140) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2026-02-26 |