| NPI | 1568111433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD225023) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML61288022) |
| Enumeration Date | 2022-03-19 |
| Last Update Date | 2025-08-13 |