| NPI | 1447820089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301511206) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2021020525) |
| Enumeration Date | 2021-06-27 |
| Last Update Date | 2025-02-26 |