| NPI | 1548847064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 1022958) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0100169) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2026-04-23 |