| NPI | 1861810624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 94-08426) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA 60735930) |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2022-07-21 |