| NPI | 1760184626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2023019458) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-11439) |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-06-21 |