| NPI | 1134612211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 286999) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT214912) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2025-05-07 |