| NPI | 1205414075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2025-00558) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C1-0026611) |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2025-05-27 |