| NPI | 1467019158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SD 17786) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301507458) |
| 208000000X Pediatrics (Licence: MI 4351045088) | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2025-11-04 |