| NPI | 1457933988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 90001) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL90001) |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2026-07-23 |