| NPI | 1902433584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 34586) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML61058711) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2025-06-19 |