| NPI | 1700449915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 82287) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 10826) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2022-07-17 |