| NPI | 1952981003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: WI 87499-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 74636) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2026-06-20 |