| NPI | 1629427117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 39590) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC MMD.39590.LL) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2022-09-26 |