| NPI | 1639691751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 1015178) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML61061076) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2023-06-04 |