| NPI | 1578172359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 71031) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301508330) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2023-04-27 |