| NPI | 1831682921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 84349) |
| Additional Taxonomies | 208D00000X General Practice (Licence: GA 84349) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2026-02-05 |