| NPI | 1457812737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA OT019645) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS023405) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2025-12-09 |