| NPI | 1982273090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 72037) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2021023495) |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2024-09-20 |