| NPI | 1134581895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C191604) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME141358) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2025-05-14 |