| NPI | 1962069013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301506507) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 1992228050) |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2025-08-29 |