| NPI | 1841992187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2023016719) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 9411392) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-06-21 |