| NPI | 1700319688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD208508) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 60238) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2023-02-10 |