| NPI | 1053728824 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A145165) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT207633) | 
| 208000000X Pediatrics (Licence: CA A145165) | |
| Enumeration Date | 2014-07-14 | 
| Last Update Date | 2024-07-24 |