| NPI | 1922535533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301501742) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301112087) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2020-09-28 |