| NPI | 1477591535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME165327) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301067210) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2026-08-20 |