| NPI | 1609371210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AK 179294) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR PG188086) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2021-08-03 |