| NPI | 1255759304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD2025-0373) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A149955) |
| 208000000X Pediatrics (Licence: PA MD460271) | |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2025-07-30 |