| NPI | 1255030524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL APRN11024917) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL 11024917) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2024-06-06 |