| NPI | 1063824324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2018-02559) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101259373) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2026-05-15 |