| NPI | 1831716943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2021031322) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2020019548) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2023-09-22 |