| NPI | 1679078703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 29017) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS T-3649) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2022-08-26 |