| NPI | 1063030146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A202566) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61396866) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2025-10-01 |