| NPI | 1619504610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.148294) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-10408) |
| 208000000X Pediatrics (Licence: MO 2020018994) | |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2023-06-23 |