| NPI | 1629568480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME MD25034) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL52350) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2021-07-26 |