| NPI | 1912564451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301506802) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4351045101) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2024-06-11 |