| NPI | 1407437700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WV 35389) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 71908) |
| 208000000X Pediatrics (Licence: MN 31606) | |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2025-08-13 |