| NPI | 1255810651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS15724) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL UO4875) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2025-10-28 |