| NPI | 1750931838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 80322) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 34446) |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2025-09-02 |