| NPI | 1922501758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A160373) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD471070) |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2025-08-05 |