| NPI | 1942763818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2019020179) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 9409981) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-06-24 |