| NPI | 1730756107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 85918) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL85918) |
| Enumeration Date | 2021-06-05 |
| Last Update Date | 2024-06-27 |