| NPI | 1487151361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2021014628) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: MO 2021014628) |
| 208000000X Pediatrics (Licence: AL DO.2870) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: AL DO.2870) | |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2025-10-08 |