| NPI | 1730708058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2023026718) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301510099) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2023-07-06 |