| NPI | 1750888079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 86030-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 63363) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2025-09-22 |