| NPI | 1912493107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301504070) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301115516) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2025-10-24 |