| NPI | 1649954017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA ML61552560) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA ML61552560) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-06-26 |