| NPI | 1598185126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0102204498) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 76794) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2026-05-07 |