| NPI | 1518161439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2007001536) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-32531) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2025-12-05 |