| NPI | 1235933474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 83069) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 35203) |
| Enumeration Date | 2025-04-04 |
| Last Update Date | 2026-07-27 |