| NPI | 1912589144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AK 219407) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R78659) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2024-07-29 |