| NPI | 1720441926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 4823) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 65373) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2022-09-20 |