| NPI | 1831038660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2026026221) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-12620) |
| Enumeration Date | 2026-03-26 |
| Last Update Date | 2026-07-10 |