| NPI | 1851957666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 012443) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 2296) |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2026-07-16 |