| NPI | 1316469026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2026026981) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D88649) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2026-06-24 |