| NPI | 1992326789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS023147) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT020432) |
| Enumeration Date | 2020-05-03 |
| Last Update Date | 2023-09-07 |