| NPI | 1255508826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 4424) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NH 17012) |
| 208000000X Pediatrics (Licence: ME 2287) | |
| 208000000X Pediatrics (Licence: PA OS014507) | |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2026-01-09 |