| NPI | 1770159733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX V3375) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10075269) |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2024-12-11 |