| NPI | 1558881870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 69954) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2017016024) |
| 208000000X Pediatrics (Licence: IA MD-47572) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2023-02-09 |