| NPI | 1497497820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX V7858) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4351049627) |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2025-06-16 |