| NPI | 1669057444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 78432) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 34327) |
| Enumeration Date | 2021-03-14 |
| Last Update Date | 2024-11-26 |