| NPI | 1861073678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0077345) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD489657) |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2026-07-15 |