| NPI | 1790354611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NE 2780) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 208000000X) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2025-12-17 |