| NPI | 1124482112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2019028065) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-42608) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2025-12-05 |