| NPI | 1669977005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AK 178923) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60866201) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2021-09-07 |