| NPI | 1801487525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 86124) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL86124) |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2024-06-06 |