| NPI | 1669122545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2022021132) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 9411039) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-07-01 |