| NPI | 1093238636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR DO230041) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL89748) |
| 104100000X Social Worker | |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2026-06-09 |