| NPI | 1801246921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: SD 16934) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: WI 69767-20) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2025-08-15 |