| NPI | 1962340448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 94-12957) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2026027450) |
| Enumeration Date | 2026-03-24 |
| Last Update Date | 2026-07-17 |