| NPI | 1205511193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0077354) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2023022767) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2026-09-02 |