| NPI | 1457883167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2024-00285) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 69016) |
| 208000000X Pediatrics (Licence: KY 53728) | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2025-07-09 |