| NPI | 1891354882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 4632) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 11078) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2026-09-10 |