| NPI | 1558928267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301506595) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4351045063) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2022-12-14 |