| NPI | 1922635820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 94-10300) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2023016179) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2023-08-28 |