| NPI | 1942614896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 72830) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-065484) |
| 208000000X Pediatrics (Licence: WI 69526) | |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2022-10-28 |