| NPI | 1487303079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2022021141) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-11105) |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2022-09-01 |