| NPI | 1851953517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 68541) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 30224) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2024-01-19 |