| NPI | 1508350372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 66481) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 8276) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2023-06-01 |