| NPI | 1164047262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A209967) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD-54636) |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2026-07-01 |