| NPI | 1669009056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2023007541) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-10380) |
| 208000000X Pediatrics (Licence: MO 2020017995) | |
| 208000000X Pediatrics (Licence: KS 04-48496) | |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2025-07-14 |