| NPI | 1891280053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS17392) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL 6238) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2021-07-07 |