| NPI | 1831758630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 331414) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL82702) |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2022-07-07 |