| NPI | 1821783911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 34.018534) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 58.033415) |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2026-06-15 |