| NPI | 1487304440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 57.252407) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 1) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-03-24 |