| NPI | 1245468081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2011000566) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-07216) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2025-12-05 |