| NPI | 1871059238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 22715) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 219737) |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2020-11-25 |