| NPI | 1518359876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 83821-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.071952) |
| 208000000X Pediatrics (Licence: OH 35.141339) | |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2025-11-12 |