| NPI | 1912434226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS020827) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT017708) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2020-10-01 |