| NPI | 1336723485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 72823) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301514934) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2025-12-01 |