| NPI | 1194709758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-19845) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 43798) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2025-09-16 |