| NPI | 1922413640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0116027352) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 39378) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2026-01-08 |