| NPI | 1659592582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 0431558) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2007010572) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-03-11 |