| NPI | 1013410075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 85836) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101268594) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2025-07-28 |