| NPI | 1750814521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2020-00754) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NC 202000754) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2026-05-15 |