| NPI | 1245963628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2025023303) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2022022801) |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2025-07-22 |