| NPI | 1891222980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2022-03241) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101269808) |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2022-12-21 |