| NPI | 1689232993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2022027453) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-46607) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2024-04-30 |