| NPI | 1992265946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2019022797) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-09855) |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2019-06-27 |