| NPI | 1285128975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 83775) |
| Additional Taxonomies | 2080A0000X Pediatrics Adolescent Medicine (Licence: MI 4301504156) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2024-08-19 |