| NPI | 1871155796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD215157) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301507635) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2023-08-09 |