| NPI | 1831622828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C1-0026596) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 310882) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2024-03-14 |