| NPI | 1669112884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0102210083) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 87530) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2026-07-24 |