| NPI | 1003431545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 11931) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI DO01340) |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2026-01-27 |