| NPI | 1770728719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR 14111) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD14111) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2025-06-23 |