| NPI | 1730884529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 77712) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 33498) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2024-08-09 |