| NPI | 1184363350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 06225) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.017957) |
| 208000000X Pediatrics (Licence: SC LL87642) | |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2025-09-25 |