| NPI | 1801413380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2023-00305) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL84603) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2023-08-23 |