| NPI | 1124605530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A196140) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML61164947) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2025-05-27 |