| NPI | 1346014065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 39017) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA RN324712) |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2025-08-08 |