| NPI | 1528709342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4351049559) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 79522) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2025-11-14 |