| NPI | 1528564085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2021020451) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 05-48018) |
| 208000000X Pediatrics (Licence: AZ 009301) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2023-08-03 |