| NPI | 1619430303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ID M-16659) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 11924118-1205) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2022-07-26 |