| NPI | 1356081434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA R-12505) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 85808) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2025-08-15 |