| NPI | 1801391826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 291753) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-14152) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2023-04-24 |