| NPI | 1699303651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2020018073) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2023013644) |
| 208000000X Pediatrics (Licence: KS 94-10435) | |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2024-03-07 |