| NPI | 1740773340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 010053) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2024-02009) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2025-06-16 |