| NPI | 1720608078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 12403891-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MT 132044) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2024-02-07 |