| NPI | 1639796923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ID 9471958) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301509130) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2025-07-29 |