| NPI | 1992329858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SD 14549) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-11947) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2023-10-12 |