| NPI | 1720728645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2025-01246) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL87559) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2025-08-20 |