| NPI | 1639673031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 87977) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60865406) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2023-09-19 |