| NPI | 1336777390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 77395) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 334235) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2025-10-10 |