| NPI | 1922680925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 85970-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 71769) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2025-10-09 |