| NPI | 1750934568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2020039361) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2019022750) |
| Enumeration Date | 2019-07-20 |
| Last Update Date | 2022-06-09 |