| NPI | 1629510516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 21926) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 34-293) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2022-04-04 |