| NPI | 1558856013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2019033229) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2018019984) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2024-02-06 |