| NPI | 1952753568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL 161674) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125066677) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2026-01-21 |