| NPI | 1689960429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35C.002837) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01074348A) |
| 208000000X Pediatrics (Licence: PA MT199150) | |
| 208000000X Pediatrics (Licence: SD 15610) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2025-10-09 |