| NPI | 1316630106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD494338) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT228304) |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2026-06-22 |