| NPI | 1841846516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 22250) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 34104R) |
| Enumeration Date | 2019-08-17 |
| Last Update Date | 2022-07-26 |