| NPI | 1386366698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 84891-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 14642) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2025-09-18 |