| NPI | 1932857141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2023021641) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-11522) |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2023-06-21 |