| NPI | 1720583982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2021016510) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2018022132) |
| 208000000X Pediatrics (Licence: MO 200057294) | |
| 208000000X Pediatrics (Licence: KS 94-09698) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2021016510) | |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2022-06-28 |