| NPI | 1023645637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2025-02383) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A185706) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2025-12-16 |