| NPI | 1649774068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD474960) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT215267) |
| 208000000X Pediatrics (Licence: DE C7-0006837) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2025-01-30 |