| NPI | 1942658547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 92666) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL39481) |
| 208000000X Pediatrics (Licence: SC 38481) | |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2022-07-27 |