| NPI | 1386171254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2020-03245) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 67782) |
| 208000000X Pediatrics (Licence: KY 57652) | |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2025-06-26 |