| NPI | 1851076871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NE 37337) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 9714) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2026-08-19 |