| NPI | 1417419896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 7492620) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MO 2022029283) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: KS 04-51568) | |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2026-03-23 |