| NPI | 1881482800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 94-12408) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2025023222) |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-08-12 |