| NPI | 1679935647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2019023773) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2016020820) |
| 208000000X Pediatrics (Licence: KS 94-09096) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2020-04-07 |