| NPI | 1538628532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 73302) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2022018098) |
| 208000000X Pediatrics (Licence: MO 2019021218) | |
| 208000000X Pediatrics (Licence: KS 05-46243) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2023-08-31 |