| NPI | 1811423569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 0066698) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 70543) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2021-10-27 |