| NPI | 1639817927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS024717) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT021772) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2025-09-03 |