| NPI | 1174672547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD2004-0089) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 31572) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2026-02-23 |