| NPI | 1750031142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.154653) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.080161) |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2025-11-14 |