| NPI | 1619627973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2022021577) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-11076) |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-09-07 |