| NPI | 1922645621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD487736) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2022024119) |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2025-07-25 |