| NPI | 1982309902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2023022571) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-11607) |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-06-30 |