| NPI | 1114505906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0102210266) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS023917) |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2026-07-13 |