| NPI | 1871021386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 75392-21) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA DO-05600) |
| Enumeration Date | 2017-05-28 |
| Last Update Date | 2022-09-21 |