| NPI | 1922502145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 99486) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 71779-20) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2024-04-29 |