| NPI | 1972982965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2018-00536) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL37637) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2022-04-27 |