| NPI | 1194161547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301514690) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 055186) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2025-08-26 |