| NPI | 1952920688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 341515) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 31545) |
| 208000000X Pediatrics (Licence: TN 68313) | |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2024-07-03 |