| NPI | 1578748802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 54758) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 5584) |
| Enumeration Date | 2008-01-06 |
| Last Update Date | 2025-06-17 |