| NPI | 1871099564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 83727) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2018019147) |
| 208000000X Pediatrics (Licence: KS 94-09703) | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2021-12-02 |