| NPI | 1952898678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME169664) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 89241) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2024-09-30 |