| NPI | 1205324670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MB11171000) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C70007214) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2025-02-26 |