| NPI | 1942795653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 5101026346) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MI 5101024217) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2025-08-15 |