| NPI | 1790172393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2023-02986) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0102205245) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2024-12-17 |