| NPI | 1790166346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 38348) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL38348) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2021-07-13 |