| NPI | 1699260299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2021024750) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.073214) |
| 208000000X Pediatrics (Licence: MO 2021017635) | |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2021-06-30 |