| NPI | 1144859943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX BP10091262) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML.61060995) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2025-06-26 |