| NPI | 1649857681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 94-10561) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2021019666) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2023-05-01 |