| NPI | 1659833135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 74281) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.41873) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2025-07-11 |