| NPI | 1760845796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2016022715) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 05-47322) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2024-02-05 |