| NPI | 1508515610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2022022819) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-11116) |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2022-09-08 |