| NPI | 1497506620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2024019291) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-11939) |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-09-04 |