| NPI | 1801894258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 0420438) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO R8D73) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2019-10-18 |