| NPI | 1831714666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX V7526) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL84348) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2025-05-15 |