| NPI | 1861252967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2024023594) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-11845) |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-09-03 |