| NPI | 1245626803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101265364) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301116973) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2025-11-30 |