| NPI | 1821783986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 2106049731) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NV NA) |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-04-05 |