| NPI | 1881370856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 111369) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 15159) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2026-04-07 |