| NPI | 1639751902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 0075084) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 73454) |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2025-06-09 |