| NPI | 1932633781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2023-00240) |
| Additional Taxonomies | 2080H0002X (Licence: NC 2023-00240) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2024-07-15 |