| NPI | 1285943282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q7956) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME161632) |
| Enumeration Date | 2010-09-26 |
| Last Update Date | 2025-12-12 |