| NPI | 1891377651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS20034) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL 0520034) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2024-07-30 |