| NPI | 1306266119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MO 2018026842) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: KS 04-41282) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2026-03-14 |