| NPI | 1801459029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME156902) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R77365) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2024-02-11 |