| NPI | 1518760289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2025024084) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-12438) |
| Enumeration Date | 2025-03-28 |
| Last Update Date | 2025-06-23 |