| NPI | 1801545579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2022022803) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-11040) |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2022-09-25 |