| NPI | 1124687959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A193920) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 65890) |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2024-08-16 |