| NPI | 1336150267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD493108) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ID M7951) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2026-01-06 |