| NPI | 1154332435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MO 2024023566) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2024023566) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2026-08-05 |