| NPI | 1508846007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA 39017) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 86391-20) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2025-12-04 |