| NPI | 1811515950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 22879) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 15494-I) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2023-08-10 |