| NPI | 1043086879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA RN251069) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: GA RN251069) |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2025-09-29 |