| NPI | 1811690043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 8528) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX W4992) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2026-06-16 |