| NPI | 1487409348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 80297) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 34371) |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2025-08-27 |