| NPI | 1841868924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 81426-21) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 82525) |
| 208000000X Pediatrics (Licence: IA R-12171) | |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2026-06-08 |