| NPI | 1972997880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2020020185) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 37046) |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2021-01-18 |