| NPI | 1326241241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MT MED-PHYS-LIC-140983) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR 84202) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2025-04-20 |