| NPI | 1841659729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2023013872) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 68780-21) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2023-08-16 |