| NPI | 1750844932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2023014549) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-11323) |
| 208000000X Pediatrics (Licence: MN 67957) | |
| Enumeration Date | 2019-04-13 |
| Last Update Date | 2023-07-26 |