| NPI | 1982336582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2022024568) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2500078782) |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2022-06-30 |