| NPI | 1477524999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 9600309) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NC 9600309) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2025-09-29 |