| NPI | 1023464351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD61061085) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A153331) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2026-05-14 |