| NPI | 1881263390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS023709) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT021158) |
| Enumeration Date | 2021-06-19 |
| Last Update Date | 2024-07-26 |