| NPI | 1760010516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI MD-23625) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML61061323) |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2023-09-03 |