| NPI | 1922196351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ND 5706) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 84777-20) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2025-10-10 |