| NPI | 1992292882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101276233) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0093535) |
| 208000000X Pediatrics (Licence: MI 4301509360) | |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2025-01-20 |