| NPI | 1225728728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD495987) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R80191) |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2026-07-23 |