| NPI | 1740694983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301500860) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ID M-13648) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2022-07-21 |