| NPI | 1134879067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME174106) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL 174106) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2025-09-02 |