| NPI | 1740151042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2025034156) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 53-84717-052) |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-17 |