| NPI | 1508393976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ID M-16194) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301501833) |
| 208000000X Pediatrics (Licence: MI 4301112092) | |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2022-04-14 |