| NPI | 1952715427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 04-40234) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2017026546) |
| 208000000X Pediatrics (Licence: IA R-10065) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2022-07-21 |